Unknown Individual – Clinical Psychologist, NPI 1962693978

Unknown Individual is a healthcare provider. based in Rogue river, Oregon. specializing in Clinical Psychologist. They hold a License No. 1360 (OR). The NPI Number for Unknown Individual is 1962693978

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1962693978
Phone
(541) 218-3248
Address
3403 PLEASANT CREEK RD
Deactivation Date
16 August 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 3403 PLEASANT CREEK RD

    ROGUE RIVER, OR 975374740

    Phone: (541) 218-3248

    Fax: (541) 582-1818

    Type: Mailing

  • North 6th Street, Grants Pass, Josephine County, Oregon, 97526, United States

    SUITE 201

    GRANTS PASS, OR 975262054

    Phone: (541) 218-3248

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97537)

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Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1962693978.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Rogue River?
Unknown Individual currently maps to Rogue River, Oregon in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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